Most Relevant Information
Provider Data
| NPI Number: | 1003352311 |
| Provider Name: | JUSTINE GEORGIADIS |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2017 |
| Last Updated: | 01/10/2017 |
Provider Practice Location
3636 33RD ST
#500
ASTORIA
NY
111062329
Practice Location Phone/Fax
| Phone: | 2125299780 |
| Fax: |
Provider Mailing Location
2 BRONXVILLE RD
APT 3C
BRONXVILLE
NY
107086157
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |